Can individuals with a scar-prone constitution undergo double eyelid surgery?

Apr 14, 2025 Source: Cainiu Health
Disease description:

I've always wanted to have double eyelid surgery, but I heard that I have a scar-prone constitution. I'm afraid that scarring might occur after the procedure, which could look worse than before. I'm really conflicted. I want to know whether someone with my skin type can actually undergo double eyelid surgery.

Doctor's answer (1)
Dr. Wang Shuai

Individuals with a scar-prone constitution generally should not undergo double eyelid surgery. If any physical discomfort occurs, it is recommended to seek medical attention at a hospital as soon as possible and follow the doctor's instructions for appropriate management.

A scar-prone constitution refers to a tendency in certain individuals to develop excessive scar tissue—known as "hypertrophic scars" or "keloids"—during the skin healing process after injury. These scars not only affect appearance but may also cause discomfort such as itching and pain, and in severe cases, can even impair limb function.

Regarding double eyelid surgery, even if the procedure itself is highly precise, excessive scar formation may still occur during the healing phase of the postoperative incision. Double eyelid surgery creates a certain degree of trauma around the eyes, and although under normal circumstances the incision heals gradually, forming a relatively inconspicuous linear scar.

Prior to surgery, it is important to communicate fully with the surgeon and disclose any history of abnormal scarring, so the doctor can develop a more comprehensive surgical plan. After surgery, avoid consuming spicy or irritating foods that may interfere with wound healing. Keep the wound clean and dry to prevent infection.